Tashondra Daniels Wiley is a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Tashondra Daniels Wiley NPI is 1184111718. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11537 CRICKET CT
JACKSONVILLE, FL
ZIP 32218-604
Phone: (904) 449-8125
Fax: (904) 570-9947
The enumeration date for this NPI number is 4/19/2018 and was last updated on 4/19/2018.